{"title":"\"Choose a softer field\": how gendered mentorship and institutional culture limit women in surgery.","authors":"Bakhtawar Latif, Faisal Ahsaan, Ayesha Latif","doi":"10.36834/cmej.81754","DOIUrl":"10.36834/cmej.81754","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"75-76"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Five ways to get a grip on patient safety in UGME curriculum: exploring the current landscape and future positioning.","authors":"Ekta Khemani, Sanjum Hunjan","doi":"10.36834/cmej.79864","DOIUrl":"10.36834/cmej.79864","url":null,"abstract":"<p><p>Efforts to increase patient safety have increased over the past 20 years. Education in patient safety has historically targeted residents, senior physicians, and healthcare professionals. Recently, patient safety has been identified as a top priority that should be instilled in the earliest stages of medical education, targeted at medical students. This Black Ice paper is intended to help readers to get a grip on how to manage barriers associated with reporting of medical errors, analysis of patient safety incidents, and integration of patient safety education curricula into existing courses and rotations.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"58-60"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Annie Carrier, Michaël Beaudoin, Alexandra Éthier, Denis Bédard
{"title":"[Acting as a change agent: longitudinal effects of a tailored training program aimed at developing the competencies of health and social service professionals].","authors":"Annie Carrier, Michaël Beaudoin, Alexandra Éthier, Denis Bédard","doi":"10.36834/cmej.80292","DOIUrl":"10.36834/cmej.80292","url":null,"abstract":"<p><strong>Background: </strong>We aimed to describe the immediate and medium-term effects of training in the role of change agent (CA) on: 1) the perceived competence to act as a CA; 2) the acquisition of skills required for the role; and 3) the anticipated and actual implementation of CA actions in real-world settings by professionals.</p><p><strong>Methods: </strong>Using a summative evaluation design and a self-administered online questionnaire, we collected data at three time points: before the training, immediately after, and six months later. We analyzed the data using descriptive and inferential statistics.</p><p><strong>Results: </strong>The 39 participants, aged 25 to 44, were mostly women. For both perceived competence to act as a CA and the acquisition of the required skills, the proportion of professionals responding positively increased significantly immediately after the training and decreased six months later. Although professionals intended to act as CAs right after the training, their actions had not materialized within the following six months.</p><p><strong>Conclusion: </strong>Support measures may help sustain the effects of the training in the medium term and encourage real-world implementation of change agent actions.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elise Vachon Lachiver, Martine Chamberland, Linda Bergeron, Jean Setrakian, Hassiba Chebbihi, Christina St-Onge
{"title":"Documenting medical students' use of self-explanations: tool development and initial validity evidence.","authors":"Elise Vachon Lachiver, Martine Chamberland, Linda Bergeron, Jean Setrakian, Hassiba Chebbihi, Christina St-Onge","doi":"10.36834/cmej.78199","DOIUrl":"10.36834/cmej.78199","url":null,"abstract":"<p><strong>Introduction: </strong>Self-explanation (SE), an individual learning strategy for the development of clinical reasoning skills, has been implemented in undergraduate medical curricula. A tool for documenting students' appropriate use of SE is needed to ensure benefit on learning. The objective of this project was to develop such a tool and report on evidence of its validity.</p><p><strong>Methods: </strong>We used DeVellis's eight steps to develop the tool. Assessors applied the tool to 85 audio-recorded SEs. We calculated students' mean number of inferences (biomedical, clinical, monitoring) and case elements used when self-explaining to document validity evidence of content. We used interrater agreement, with intraclass correlation coefficients, to document validity evidence of response processes.</p><p><strong>Results: </strong>Three assessors documented the students' use of SE with the tool. They found means of 13.33 to 17.76 biomedical inferences, 16.27 to 27.04 clinical inferences, 2.03 to 3.10 monitoring statements, and listed 21.77 to 26.87 case elements. Interrater reliability varied from 0.53 to 0.96.</p><p><strong>Discussion: </strong>We developed the tool using the principles underlying SE. The way students used SE aligned with our expectations. Assessors used the tool in a consistent way. The tool could document students' use of SE in experimental or educational contexts.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The CMEJ profile: a strong contribution to health professions education in Canada and around the world.","authors":"Marcel F D'Eon","doi":"10.36834/cmej.82175","DOIUrl":"10.36834/cmej.82175","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tim Dubé, Matthieu Touchette, Linda Bergeron, Mariem Fourati, Cassandra Barber, Christina St-Onge
{"title":"Fulfilling a social mission: examining practice locations of residency graduates over two decades.","authors":"Tim Dubé, Matthieu Touchette, Linda Bergeron, Mariem Fourati, Cassandra Barber, Christina St-Onge","doi":"10.36834/cmej.81307","DOIUrl":"10.36834/cmej.81307","url":null,"abstract":"<p><strong>Background: </strong>Medical schools play a critical role in shaping the physician workforce. Tracking the practice locations of medical graduates is essential for addressing healthcare disparities and workforce shortages in underserved regions. This study examines the geographic distribution of residency graduates from a Canadian francophone university, aligning their practice locations with the university's social accountability mandate.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted using data from the Canadian Post-M.D. Education Registry (CAPER) for 2,410 residency graduates (2000-2020) from 35 residency training programs. We analyzed practice locations at two-, five-, and 10-years post-graduation across medical specialties, sex, and geographic region, with a focus on Quebec's administrative health regions.</p><p><strong>Results: </strong>There were 2,410 graduates from 35 residency training programs. Family medicine accounted for 57.8% of all graduates and 42.2% were from all other specialties. Most graduates (77.7%) practiced in the province of Quebec, with concentrations in the regions of the Eastern Townships (19.4%), Montérégie (14.6%), and Saguenay-Lac-St-Jean (7.6%).</p><p><strong>Conclusion: </strong>This study demonstrates the important regional impact of the university's role in training family physicians and addressing healthcare needs in Quebec. The findings suggest the importance of tracking to inform evidence-based workforce planning and policy development. Medical schools can leverage such data to align training programs with societal health needs and enhance their contributions to regional healthcare systems.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"47-57"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fluency in medicine is not enough: health literacy is the missing language of medical education.","authors":"Domenic F Alaimo, Sandra D Vamos","doi":"10.36834/cmej.81714","DOIUrl":"10.36834/cmej.81714","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"81-82"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Rural Immersion program: developing a resident-driven residency program.","authors":"Kacper Niburski, Nicholas Jawanda","doi":"10.36834/cmej.79205","DOIUrl":"10.36834/cmej.79205","url":null,"abstract":"<p><p>The Rural Immersion program has been created to streamline residents to less-used remote sites, and to create resident-driven curricula. The program is suggested as a possible means to increase rural retention and benefit rural communities with longitudinal care.</p>","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"61-62"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond the exam room: skin health as a window into rural health equity.","authors":"Hailey Land","doi":"10.36834/cmej.81730","DOIUrl":"https://doi.org/10.36834/cmej.81730","url":null,"abstract":"","PeriodicalId":72503,"journal":{"name":"Canadian medical education journal","volume":"16 4","pages":"77-78"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}